File setup & Maintenance Intake Form

Services

FMCSA New Entrant Audit Support Within your first 12 months you will receive a New Entrant Safety Audit from DOT. We will handle the audit process by prepping you before. If you are currently in the audit process we can not guarantee a pass, as we did not assist in the setup process. We have a 100% pass rate with our clients we setup and maintain.

$ 250.00

Total

$ 0.00

Business Name *

USDOT NUMBER *

Owner's name *

First Name Last Name

Phone Number *

E-mail *

example@example.com

How many CDL holders? *

How man Non-CDL holders? *

What will be your equipment type? *

What type of freight will you haul? *

General Refrigerated Flatbed Hazardous

Do you have a DOT Drug & Alcohol policy in place? *

Yes No

Best method of contact to discuss your needs. *

Phone Email

Any special things to know about your company? *

Referral Source *

I, First Name* Last Name*, am the owner of * & hereby give LNJ Enterprises, LLC permission to act on my behalf in performing the duties I have purchased. I understand if LNJ Enterprises did not setup my authority & does not perform monthly maintenance on my behalf there is not a 100% guarantee of passing the new entrant audit. I will provide any additional information within a timely manner (48HRS of it being requested). Any correspondences will be through email (COMPLIANCE@LNJENT.ORG) The information I have provided LNJ Enterprises is true. I understand LNJ Enterprises is not liable for any false information provided, as they will only submit what I have placed on this document. I understand there is a no refund policy.
Signature*

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Company File Setup & Maintenance